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House Watch Request

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Steps

1. Contact Information This section is complete This section is incomplete
2. Vacation Information This section is complete This section is incomplete
3. Key Holder Information This section is complete This section is incomplete

Contact Information

Complete the following information to request your home be placed on house watch. The police department will conduct periodic checks of the exterior of your home to ensure it is secure.
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Phone Number*
Away Phone Number*
Email Address
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Vacation Information

Date Leaving*
Date Leaving
Date Returning*
Date Returning
The watch will automatically terminate on the listed return date. If your return date changes for any reason, please contact the police department at 847-501-6034.
Do you have any lights on timers?*
1. Yes
2. No
Permanent lights?*
1. Yes
2. No
Pets in home?*
1. Yes
2. No
Alarm system on?*
1. Yes
2. No
Any vehicles in driveway?*
1. Yes
2. No
Vehicle Descriptions
If yes, please list the make/model of vehicle(s)
Additional Information
Please indicate if any guests are expected at your home while you're away (i.e. cleaning services, landscapers, pet care takers, etc.).
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Key Holder Information

Key holders are individuals who have the ability to gain access to your home should an emergency occur while you're away (i.e. broken pipe, etc.).
Key Holder 1:
First Name
Last Name
Phone Number
Key Holder 2:
First Name
Last Name
Phone Number
Key Holder 3:
First Name
Last Name
Phone Number

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Village of Winnetka
510 Green Bay Road
Winnetka, IL 60093

Phone: 847-501-6000

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